The Ballet Academy

Come and be inspired by the joy of dance

Enrolment Form

Thank you for choosing The Ballet Academy for your child's dancing experience. Please see our Terms & Conditions on our website before you submit your form to administration. Please include as many phone numbers as possible, so we may contact someone easily in an emergency. Street Address is the physical address in case we have to drop anything off - DVDs at the end of the year for instance. If you have any questions please do not hesitate to ask.

**For Classes that are Waitlist only - please contact the office to be placed on the waiting list. [email protected]

Student Surname:

Student First Name:

Student's Birth Date:

Primary Contact Full Name:

Secondary Contact Full Name:

Emergency Cell Ph Name and Contact No:

Day Contact Name and Phone Number:

Night Contact Name and Phone Number:

Additional Mobile Phone Numbers and Contact Names:

Primary Email Address:

Street Address (including Postcode):

2018 Classes:

Medical Conditions:

How did you hear about us:

Terms & Conditions

I acknowledge that I have read the Terms and Conditions as outlined on The Ballet Academy website.

I acknowledge that by submitting this form I consent to all Terms & Conditions as outlined on The Ballet Academy website.